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REQUEST FOR JURY DUTY COMPENSATION Local 48 Member Benefit Only I HEREBY REQUEST COMPENSATION FOR THE DAYS AND HOURS LISTED BELOW. I HAVE ATTACHED VERIFICATION FROM THE CLERK OF THE COURT WHICH ALSO
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Read the instructions provided with the form carefully.
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Fill out all personal information accurately, including name, address, and contact information.
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Provide any relevant details about your availability for jury duty.
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Who needs jury duty claim form?

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Individuals who have been summoned for jury duty.
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The jury duty claim form is a document used to request an exemption or deferral from jury duty.
Anyone who has been summoned for jury duty and meets the criteria for exemption or deferral is required to file a jury duty claim form.
To fill out a jury duty claim form, you must provide your personal information, the reason for your request, and any supporting documentation.
The purpose of the jury duty claim form is to request an exemption or deferral from serving on a jury.
The jury duty claim form must include your name, address, date of birth, juror number, reason for request, and any supporting documentation.
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